Sexual health and sexual concerns are common in family medicine. Patients want their family physicians to feel comfortable initiating conversations about sexuality and managing related problems. Over 50% of couples will have significant sexual concerns causing distress and the risk of losing the relationship. Many patients wish to discuss sexual concerns with their family doctor but don’t feel comfortable raising the topic themselves. Many sexual problems have significant biological etiologies, rather than solely psychological or relational ones. Often, all of these factors are involved. After completing this module, you will be able to: initiate conversations about sexuality, including normative sexuality, orientation, and specific sexual concerns; identify common sexual concerns; take a comprehensive sexual history; be able to categorize sexual problems according to desire, arousal, orgasm, and sexual pain; develop a basic approach to managing sexual concerns related to desire, arousal, orgasm and sexual pain, and understand when to refer to a sexual medicine consultant.